OUR LEGAL DUTIES

Emergent Mental Health Services LLC (“EMHS,” “we,” “us,” or “our”) is required by law to:

• Maintain the privacy of your Protected Health Information (“PHI”)
• Provide you with this Notice of Privacy Practices
• Follow the terms of this Notice currently in effect
• Notify you if a breach occurs that may have compromised the privacy or security of your PHI

HOW WE MAY USE AND DISCLOSE YOUR PHI

The following categories describe the ways we may use or disclose your PHI without your written authorization, as permitted by law.

1. Treatment

We may use and disclose your PHI to provide, coordinate, or manage your behavioral health care. This may include communication among licensed clinicians, psychiatric providers, supervised counseling interns, peer support specialists, case managers, and other professionals involved in your care.

2. Payment

We may use and disclose your PHI to bill and receive payment from health plans, AHCCCS, Medicare, or other payers for services provided.

3. Health Care Operations

We may use and disclose PHI for healthcare operations, including:

• Quality assurance and improvement activities
• Clinical supervision, training, and education
• Licensing, credentialing, and compliance activities
• Administrative, legal, and business operations

4. As Required by Law

We may disclose PHI when required by federal, state, or local law, including audits, investigations, subpoenas, or lawful requests.

5. Public Health & Safety

We may disclose PHI to prevent or lessen a serious and imminent threat to your health or safety or the health or safety of others, as permitted by law.

6. Business Associates

We may share PHI with vendors or contractors who assist us with operations such as billing, electronic health records, information technology, compliance, or quality management. These parties are required to protect PHI under HIPAA-compliant Business Associate Agreements.

OTHER USES AND DISCLOSURES

Any use or disclosure of PHI not described in this Notice requires your written authorization, unless otherwise permitted or required by law.
You may revoke an authorization in writing at any time.

TELEHEALTH & ELECTRONIC COMMUNICATIONS

PHI may be used or disclosed in connection with telehealth services delivered via secure video or phone platforms. We use reasonable safeguards to protect your information; however, electronic communications carry some inherent risk. Telehealth services are not intended for emergency situations.

LANGUAGE ACCESS & INTERPRETER SERVICES

Emergent Mental Health Services LLC provides free language assistance services to individuals with limited English proficiency and to individuals who are deaf or hard of hearing.

Language assistance services may include:

• Qualified interpreters
• Information provided in alternate formats upon request
• Assistance with understanding forms, notices, and services

These services are provided at no cost to you.

We do not require clients to provide their own interpreters. Family members or friends may be used only at your request and where permitted by law. We may decline the use of a requested interpreter if it would compromise effective communication, confidentiality, or clinical appropriateness.

If you need language assistance or interpreter services, please notify our staff or contact us using the information below.

YOUR RIGHTS REGARDING YOUR PHI

You have the right to:

Access

Request access to or copies of your PHI, with limited exceptions.

Amendment

Request corrections to your PHI if you believe it is incorrect or incomplete.

Restrictions

Request restrictions on certain uses or disclosures of your PHI. We are not required to agree to all requests.

Confidential Communications

Request that we communicate with you in a specific way or at a specific location.

Accounting of Disclosures

Request a list of certain disclosures of your PHI.

Paper Copy

Receive a paper copy of this Notice upon request, even if you agreed to receive it electronically.

Complaints

File a complaint if you believe your privacy rights have been violated, without fear of retaliation.

COMPLAINTS

If you have questions about this Notice or believe your privacy rights have been violated, you may contact:

Emergent Mental Health Services LLC
📞 623-278-4610
📧 info@emhsvcs.com

You may also file a complaint with the U.S. Department of Health and Human Services. Filing a complaint will not affect your care.

CHANGES TO THIS NOTICE

We reserve the right to change this Notice and make the revised Notice effective for all PHI we maintain. The current Notice will be available upon request and posted where required.

CONTACT INFORMATION

Emergent Mental Health Services LLC
📍 10240 N 31st Ave, Suite 125
Phoenix, AZ 85051
📞 623-278-4610
📧 info@emhsvcs.com